title: Destructive granulomatous reaction to polyacrylamide lip injection: solution for a complex case.
abstract: The inappropriate and careless use of permanent fillers causes severe and undesirable side effects, as shown by a number of reported clinical cases. The dramatic case described in this report strongly demonstrates that inadequate knowledge of implanted materials has a heavy impact on the patient's health and his or her desired results. Both are aspects that sometimes prove very difficult to ameliorate. Moreover, the solution for the reported case clearly demonstrates that only the careful application of fine surgery can solve these problems. This is true also for cases initially believed to be hopeless.
authors.affiliation: Center for Plastic, Reconstructive, and Esthetic Surgery and Dermatology, Via Antica Romana di Quinto 119, 16161 Genoa, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Colombo
authors.forename: P
authors.initials: P
authors.lastname: Caregnato
authors.forename: R
authors.initials: R
authors.lastname: Stifanese
authors.forename: G
authors.initials: G
authors.lastname: Ferrando
mesh_terms: D000180:Acrylic Resins / Q000008:administration & dosage / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001672:Biocompatible Materials; D003357:Cosmetic Techniques / Q000009:adverse effects*; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery*; D015745:Granuloma, Foreign-Body / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007249:Inflammation / Q000209:etiology; D008046:Lip / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012086:Reoperation; D013492:Suppuration / Q000209:etiology; D000099166:Polyacrylamides
chemical_list: D000180:Acrylic Resins; D000900:Anti-Bacterial Agents; D001672:Biocompatible Materials; D000099166:Polyacrylamides